A 68-year-old woman presents to the clinic with several months of fatigue, decreased exercise
tolerance, and increased episodes of angina. She volunteers an observation that she is craving ice
chips. She also has coronary artery disease with exertional angina for which she takes
nitroglycerine. Her medications include metoprolol, simvastatin, and one low-dose aspirin per
Physical examination is normal except for her complete blood count is white blood cell
(WBC) 6,500, blood hemoglobin (Hgb) 9.8, hematocrit (HCT) 28.2%, mean corpuscular volume
(MCV)78, and platelets 320,000. Her ferritin is 8.
A. What is the plan of care for Dorothy?
B. What education does Dorothy need regarding her medication and lifestyle?
C. Discuss normal levels for Hgb, Hct and iron panel for adult females.
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